Heights University Hospital

All Charges

Charge

Type

Setting

Price

Separator 4

Facility

$44,400.00

Hospital Charge Code	270685894N
Hospital Revenue Code	272
Min. Negotiated Rate	$6,660.00
Max. Negotiated Rate	$6,660.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,660.00

SEPARATOR 4

Facility

$4,400.00

Hospital Charge Code	270685894S
Hospital Revenue Code	272
Min. Negotiated Rate	$660.00
Max. Negotiated Rate	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$660.00

SEPARATOR 4

Facility

$4,400.00

Hospital Charge Code	270685894S
Hospital Revenue Code	272
Min. Negotiated Rate	$572.00
Max. Negotiated Rate	$2,200.00
Rate for Payer: Aetna Commercial	$1,320.00
Rate for Payer: Aetna Medicare Advantage	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,122.00
Rate for Payer: Cigna Commercial	$2,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.00
Rate for Payer: Oxford Commercial	$2,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$660.00
Rate for Payer: UnitedHealthcare Commercial	$2,200.00

SEPARATOR 8 150CM

Facility

$9,400.00

Hospital Charge Code	270683397N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,410.00
Max. Negotiated Rate	$1,410.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00

SEPARATOR 8 150CM

Facility

$9,400.00

Hospital Charge Code	270683397N
Hospital Revenue Code	272
Min. Negotiated Rate	$1,222.00
Max. Negotiated Rate	$4,700.00
Rate for Payer: Aetna Commercial	$2,820.00
Rate for Payer: Aetna Medicare Advantage	$2,820.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,397.00
Rate for Payer: Cigna Commercial	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,222.00
Rate for Payer: Oxford Commercial	$4,700.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00
Rate for Payer: UnitedHealthcare Commercial	$4,700.00

SEPARATOR 8 150CM

Facility

$9,400.00

Hospital Charge Code	270683397
Hospital Revenue Code	272
Min. Negotiated Rate	$1,410.00
Max. Negotiated Rate	$1,410.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00

SEPARATOR 8 150CM

Facility

$9,400.00

Hospital Charge Code	270683397
Hospital Revenue Code	272
Min. Negotiated Rate	$1,222.00
Max. Negotiated Rate	$4,700.00
Rate for Payer: Aetna Commercial	$2,820.00
Rate for Payer: Aetna Medicare Advantage	$2,820.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,397.00
Rate for Payer: Cigna Commercial	$4,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,222.00
Rate for Payer: Oxford Commercial	$4,700.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,410.00
Rate for Payer: UnitedHealthcare Commercial	$4,700.00

SEPRA FILM

Facility

$1,345.00

Hospital Charge Code	270627662
Hospital Revenue Code	272
Min. Negotiated Rate	$174.85
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$403.50
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.85
Rate for Payer: Oxford Commercial	$672.50
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$672.50

SEPRA FILM

Facility

$1,345.00

Hospital Charge Code	270627662
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

SEPRAPA UNILAT APPLI 7089-0810

Facility

$345.05

Hospital Charge Code	270639838
Hospital Revenue Code	272
Min. Negotiated Rate	$51.76
Max. Negotiated Rate	$51.76
Rate for Payer: Qualcare PPO/HMO/WC	$51.76

SEPRAPA UNILAT APPLI 7089-0810

Facility

$345.05

Hospital Charge Code	270639838
Hospital Revenue Code	272
Min. Negotiated Rate	$44.86
Max. Negotiated Rate	$172.53
Rate for Payer: Aetna Commercial	$103.52
Rate for Payer: Aetna Medicare Advantage	$103.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.99
Rate for Payer: Cigna Commercial	$172.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.86
Rate for Payer: Oxford Commercial	$172.53
Rate for Payer: Qualcare PPO/HMO/WC	$51.76
Rate for Payer: UnitedHealthcare Commercial	$172.53

SEPT9 METHYLATED DNA DETECTION

Facility

$200.00

Service Code	HCPCS 81401
Hospital Charge Code	3038132
Hospital Revenue Code	310
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SEPT9 METHYLATED DNA DETECTION

Facility

$200.00

Service Code	HCPCS 81401
Hospital Charge Code	3038132
Hospital Revenue Code	310
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$501.97
Rate for Payer: Aetna Commercial	$443.88
Rate for Payer: Aetna Medicare Advantage	$137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$137.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.97
Rate for Payer: Cigna Commercial	$137.00
Rate for Payer: Cigna Medicare Advantage	$68.50
Rate for Payer: Clover Medicare Advantage	$130.15
Rate for Payer: EmblemHealth Commercial	$411.00
Rate for Payer: Humana Medicare Advantage	$141.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$137.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$145.22
Rate for Payer: Wellcare Medicare Advantage	$137.00

SEPTIC ARTHRITIS WITH CC

Facility

$46,862.10

Service Code	MSDRG 549
Min. Negotiated Rate	$13,173.67
Max. Negotiated Rate	$46,862.10
Rate for Payer: Aetna Commercial	$40,706.64
Rate for Payer: Aetna Medicare Advantage	$13,173.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,356.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,356.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,620.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,356.07
Rate for Payer: Cigna Commercial	$25,980.15
Rate for Payer: Cigna Medicare Advantage	$15,620.70
Rate for Payer: Clover Medicare Advantage	$14,839.67
Rate for Payer: EmblemHealth Commercial	$46,862.10
Rate for Payer: Humana Medicare Advantage	$16,089.32
Rate for Payer: Oxford Commercial	$16,236.84
Rate for Payer: UnitedHealthcare Commercial	$18,430.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,620.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,557.94
Rate for Payer: Wellcare Medicare Advantage	$15,620.70

SEPTIC ARTHRITIS WITH MCC

Facility

$67,868.01

Service Code	MSDRG 548
Min. Negotiated Rate	$21,071.11
Max. Negotiated Rate	$67,868.01
Rate for Payer: Aetna Commercial	$65,109.73
Rate for Payer: Aetna Medicare Advantage	$21,071.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53,755.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53,755.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,622.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53,755.65
Rate for Payer: Cigna Commercial	$41,554.90
Rate for Payer: Cigna Medicare Advantage	$22,622.67
Rate for Payer: Clover Medicare Advantage	$21,491.54
Rate for Payer: EmblemHealth Commercial	$67,868.01
Rate for Payer: Humana Medicare Advantage	$23,301.35
Rate for Payer: Oxford Commercial	$25,970.60
Rate for Payer: UnitedHealthcare Commercial	$29,479.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,622.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,980.03
Rate for Payer: Wellcare Medicare Advantage	$22,622.67

SEPTIC ARTHRITIS WITHOUT CC/MCC

Facility

$37,193.61

Service Code	MSDRG 550
Min. Negotiated Rate	$9,538.69
Max. Negotiated Rate	$37,193.61
Rate for Payer: Aetna Commercial	$29,474.55
Rate for Payer: Aetna Medicare Advantage	$9,538.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,397.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,912.98
Rate for Payer: Cigna Commercial	$18,811.51
Rate for Payer: Cigna Medicare Advantage	$12,397.87
Rate for Payer: Clover Medicare Advantage	$11,777.98
Rate for Payer: EmblemHealth Commercial	$37,193.61
Rate for Payer: Humana Medicare Advantage	$12,769.81
Rate for Payer: Oxford Commercial	$11,756.65
Rate for Payer: UnitedHealthcare Commercial	$13,344.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,397.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,141.74
Rate for Payer: Wellcare Medicare Advantage	$12,397.87

SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$14,997.37

Service Code	APR-DRG 7203
Min. Negotiated Rate	$11,413.83
Max. Negotiated Rate	$14,997.37
Rate for Payer: Aetna Better Health Medicaid	$14,703.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,997.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11,413.83

SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$10,038.50

Service Code	APR-DRG 7202
Min. Negotiated Rate	$6,978.53
Max. Negotiated Rate	$10,038.50
Rate for Payer: Aetna Better Health Medicaid	$9,841.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,038.50
Rate for Payer: Wellpoint Medicaid Managed Care	$6,978.53

SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$27,473.88

Service Code	APR-DRG 7204
Min. Negotiated Rate	$25,157.69
Max. Negotiated Rate	$27,473.88
Rate for Payer: Aetna Better Health Medicaid	$26,935.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,473.88
Rate for Payer: Wellpoint Medicaid Managed Care	$25,157.69

SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$7,840.64

Service Code	APR-DRG 7201
Min. Negotiated Rate	$5,199.28
Max. Negotiated Rate	$7,840.64
Rate for Payer: Aetna Better Health Medicaid	$7,686.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,840.64
Rate for Payer: Wellpoint Medicaid Managed Care	$5,199.28

SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS

Facility

$233,065.07

Service Code	MSDRG 870
Min. Negotiated Rate	$67,273.40
Max. Negotiated Rate	$233,065.07
Rate for Payer: Aetna Commercial	$233,065.07
Rate for Payer: Aetna Medicare Advantage	$75,425.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191,866.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191,866.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$70,814.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191,866.32
Rate for Payer: Cigna Commercial	$148,748.85
Rate for Payer: Cigna Medicare Advantage	$70,814.11
Rate for Payer: Clover Medicare Advantage	$67,273.40
Rate for Payer: EmblemHealth Commercial	$212,442.33
Rate for Payer: Humana Medicare Advantage	$72,938.53
Rate for Payer: Oxford Commercial	$92,963.71
Rate for Payer: UnitedHealthcare Commercial	$105,522.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$70,814.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$75,062.96
Rate for Payer: Wellcare Medicare Advantage	$70,814.11

SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC

Facility

$68,204.73

Service Code	MSDRG 871
Min. Negotiated Rate	$21,197.69
Max. Negotiated Rate	$68,204.73
Rate for Payer: Aetna Commercial	$65,500.86
Rate for Payer: Aetna Medicare Advantage	$21,197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,734.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,582.66
Rate for Payer: Cigna Commercial	$41,804.54
Rate for Payer: Cigna Medicare Advantage	$22,734.91
Rate for Payer: Clover Medicare Advantage	$21,598.16
Rate for Payer: EmblemHealth Commercial	$68,204.73
Rate for Payer: Humana Medicare Advantage	$23,416.96
Rate for Payer: Oxford Commercial	$26,126.62
Rate for Payer: UnitedHealthcare Commercial	$29,656.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,734.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,099.00
Rate for Payer: Wellcare Medicare Advantage	$22,734.91

SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC

Facility

$41,524.26

Service Code	MSDRG 872
Min. Negotiated Rate	$11,166.85
Max. Negotiated Rate	$41,524.26
Rate for Payer: Aetna Commercial	$34,505.57
Rate for Payer: Aetna Medicare Advantage	$11,166.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,841.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,394.01
Rate for Payer: Cigna Commercial	$22,022.44
Rate for Payer: Cigna Medicare Advantage	$13,841.42
Rate for Payer: Clover Medicare Advantage	$13,149.35
Rate for Payer: EmblemHealth Commercial	$41,524.26
Rate for Payer: Humana Medicare Advantage	$14,256.66
Rate for Payer: Oxford Commercial	$13,763.39
Rate for Payer: UnitedHealthcare Commercial	$15,622.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,841.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,671.91
Rate for Payer: Wellcare Medicare Advantage	$13,841.42

SEPTOPLASTY/SMR

Facility

$22,083.40

Service Code	HCPCS 30520
Hospital Charge Code	1600000330
Hospital Revenue Code	360
Min. Negotiated Rate	$3,312.51
Max. Negotiated Rate	$3,312.51
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51

SEPTOPLASTY/SMR

Facility

$22,083.40

Service Code	HCPCS 30520
Hospital Charge Code	1600000330
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Commercial	$6,625.02
Rate for Payer: Aetna Medicare Advantage	$6,625.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,631.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,631.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,631.27
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,870.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

Know your out-of-pocket cost for care.

All Charges